First reported case of Robinsoniella peoriensis pyometra and bloodstream infection: A case report and review of the literature

Javier Mejia-Gomez; Tiffany Zigras; Yashesh Patel; Wendy Wolfman; Eleni Philippopoulos; Nada Shaltout; Coleman Rotstein; Stephane Laframboise; Samir N Patel; Julianne V Kus; Susan M Poutanen; Seyed M Hosseini-Moghaddam

doi:10.1016/j.anaerobe.2022.102581

First reported case of Robinsoniella peoriensis pyometra and bloodstream infection: A case report and review of the literature

Anaerobe. 2022 Jun:75:102581. doi: 10.1016/j.anaerobe.2022.102581. Epub 2022 May 6.

Authors

Affiliations

¹ Department of Obstetrics and Gynecology, University of Toronto, Canada. Electronic address: javier.mejiagomez@mail.utoronto.ca.
² Department of Obstetrics and Gynecology, Division of Gynecologic Oncology, Trillium Health Partners, Canada.
³ Department of Internal Medicine, Mt. Sinai Hospital, University of Toronto, Canada.
⁴ Department of Obstetrics and Gynecology, Division of Menopause and Premature Ovarian Failure, Mt. Sinai Hospital, University of Toronto, Canada.
⁵ Sidney Liswood Health Science Library, Mount Sinai Hospital, Canada.
⁶ Royal college of surgeons in ireland, Ireland.
⁷ Department of Internal Medicine, Division of Infectious Diseases, Immunocompromised Host Infectious Diseases Service, University Health Network, University of Toronto, Canada.
⁸ Department of Obstetrics and Gynecology, Division of Gynecologic Oncology, Princess Margaret Cancer Centre, University of Toronto, Canada.
⁹ Public Health Ontario's Laboratory, Toronto, Canada; Department of Laboratory Medicine and Pathobiology, University of Toronto, Canada.
¹⁰ Department of Laboratory Medicine and Pathobiology, University of Toronto, Canada; Microbiologist & Infectious Disease Physician, University Health Network, Sinai Health, University of Toronto, Canada.
¹¹ Department of Internal Medicine, Division of Immunocompromised Host Infectious Diseases, University Health Network, University of Toronto, Canada.

PMID: 35526662
DOI: 10.1016/j.anaerobe.2022.102581

Abstract

We report on a 47-year-old woman with jejunal adenocarcinoma and concurrent endometrial cancer, admitted with sepsis. Uterine fluid and blood cultures were positive for Robinsoniella peoriensis. This is the first case report of Robinsoniella peoriensis in Canada. We encourage clinicians to publish their experience treating gynecologic infections caused by Robinsoniella peoriensis. Failure to recognize this pathogen as causative for pyometra, may result in insufficient antimicrobial treatment, and death.

Publication types

Case Reports
Review

MeSH terms

Anti-Bacterial Agents / therapeutic use
Clostridiales
Female
Humans
Middle Aged
Pyometra* / diagnosis
Pyometra* / drug therapy
Sepsis*

Substances

Anti-Bacterial Agents

Supplementary concepts

Robinsoniella peoriensis